Document Detail

Unusual positioning of a central venous catheter.
MedLine Citation:
PMID:  15950856     Owner:  NLM     Status:  MEDLINE    
Central venous cannulation, with or without a flow-directed pulmonary artery catheter, is commonly performed in patients undergoing cardiac surgery to measure central filling pressure and cardiac output, and to administer medications and fluids. The complications of central venous cannulation are numerous and include malposition, arterial puncture, pneumothorax, hemothorax, chylothorax, extravasation of infusate, thrombophlebitis, and infection. We describe a single-lumen catheter that was placed through the hemostatic valve of a 9F percutaneous introducer, which inadvertently entered the left internal mammary (internal thoracic) vein. The current case is unique in that it was diagnosed by visualization of the catheter during surgical dissection.
Gary Kanter; Neil Roy Connelly
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  17     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-13     Completed Date:  2005-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  293-5     Citation Subset:  IM    
Department of Anesthesiology, Baystate Medical Center, Springfield, MA 01199, USA.
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MeSH Terms
Catheterization, Central Venous / adverse effects*,  instrumentation
Central Venous Pressure
Jugular Veins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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